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Verification of factors influencing improvement of dysphagia in stroke patients at our hospital: Using multiple regression analysis Yurie Futatsugi 1 , Manami Kai 1 , Haruka Ootsuki 1 , Kentarou Uno 2 1Speech-Language-Hearing Section, Department of Rehabilitation, Showa Hospital 2Department of Rehabilitation, Moji City Hospital Keyword: 嚥下能力 , 藤島式嚥下グレード , GNRI , FIM運動項目合計点 , Swallowing ability , Fujishima's Grade for Feeding and Swallowing Ability , FIM motor subscore pp.137-141
Published Date 2018/9/15
DOI https://doi.org/10.11477/mf.6001200184
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 In this study, we investigated factors that affect improvement in swallowing ability. The subjects were 107 patients who had swallowing disorder due to cerebrovascular disease and were admitted to the recovery-phase rehabilitation ward in our hospitals. Patients whose Fujishima's Grade for Feeding and Swallowing Ability(SG) was 7-10 at the time of admission and those who had been hospitalized for less than 30 days were excluded, leaving 47 patients who were included in the study. The degree of SG improvement was determined by subtracting SG at hospital admission from SG at discharge. We performed stepwise multiple regression analysis with the degree of SG improvement as the dependent variable, and age, disease name, Geriatric Nutritional Risk Index(GNRI) at hospitalization, FIM motor subscore and FIM cognitive subscore at hospitalization as independent variables. As a result of regression analysis, the GNRI and FIM motor subscore at hospitalization were extracted. The same items were extracted even when the hospitalization period was entered(p<0.05, β=0.31, 0.49, R2=0.316). The results suggest that improvement in swallowing ability is related to improvement of nutritional condition and physical function.


Copyright © 2018, Japanese Association of Speech-Language-Hearing Therapists. All rights reserved.

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電子版ISSN 印刷版ISSN 1349-5828 日本言語聴覚士協会

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